[SavageGlow]

Case of a 35 year old male sustaining partial foot degloving from a train collision. The patient tried to commit suicide by lying on a train track, but luckily the train pushed him off the track, fracturing his femur and causing a deep laceration of his heel.

After initial vitals assessment, fluid resuscitation and c-spine fixation, the patient was brought to the OR for plantar repair. Debridement of the injured area was done under local anaesthesia after which tissues and fat pads were approximated and repaired. The wound was closed with skin sutures.

[Pyramid_Head]

I wonder how embarrassed he was to somehow fuck up a train suicide.

[SavageGlow]

[ride]

Wouldn’t that be a de-socking?

[kellyhound]

Nine out of ten people who attempt suicide and survive will not go on to die by suicide at a later date. This has been well-established in the suicidology literature. A literature review (Owens 2002) summarized 90 studies that have followed over time people who have made suicide attempts that resulted in medical care. Approximately 7% (range: 5-11%) of attempters eventually died by suicide, approximately 23% reattempted non-fatally, and 70% had no further attempts.

Even studies that focused on medically serious attempts–such as people who jumped in front of a train (O’Donnell 1994)–and studies that followed attempters for many decades found similarly low suicide completion rates. At least one study, published after the 90-study review, found a slightly higher completion rate. This was a 37-year follow-up of self-poisoners in Finland that found an eventual completion rate of 13% (Suominen 2004).

This relatively good long-term survival rate is consistent with the observation that suicidal crises are often short-lived, even if there may be underlying, more chronic risk factors present that give rise to these crises.

Hope he learned